Healthcare Provider Details

I. General information

NPI: 1982101598
Provider Name (Legal Business Name): KARA ROSE ROMANO-PRATT PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARA ROSE PRATT

II. Dates (important events)

Enumeration Date: 04/10/2018
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2755 HERNDON AVE
CLOVIS CA
93611-6800
US

IV. Provider business mailing address

258 N ADLER AVE
CLOVIS CA
93612-0187
US

V. Phone/Fax

Practice location:
  • Phone: 559-324-4000
  • Fax:
Mailing address:
  • Phone: 314-250-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number55396
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: